Luis L. Villarruel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01030281A Issued in IN

Practice address

9301 E 59TH St
Indianapolis, IN 46216-2236

Phone

(317) 964-7064

Fax

(317) 964-7087

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: luis.villarruel.1@18665.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1598720476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 TENNISON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368392",
            "telephone_number": "317-826-0962",
            "fax_number": "317-826-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 E 59TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162236",
            "telephone_number": "317-964-7064",
            "fax_number": "317-964-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARRUEL",
        "first_name": "LUIS",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030281A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "4392375",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100325900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN#",
            "identifier": "000000475865",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Antonio Villamizar, MSN, FNP
• Cindy Tampus Villanueva
• Edith Villanueva
• Raymond Villanueva
• Nyria Carolina Villarreal, M.D.
• Raphael Villavicencio, MD
• Marlene J Villecco, MS, LCAC
• Chernen Villegas
• Nicole Villiger, MD
• Vilma Abaigar

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.